Thought storyStory 06
Strong specialists, but growth with existing clients goes unused.
The doctors are good. But how much business goes unused?
We looked at the growth opportunities of a large Estonian healthcare provider. The company has good specialists, a wide range of services and long-standing relationships with both private and corporate clients.
One question interested us most. How much new business could come from existing clients, without necessarily opening new clinics or hiring more specialists?
Several interesting opportunities began to emerge, and they turned out to be closely connected.
Are we talking to the right person?
A healthcare provider may work with a large company for years, organising employee health checks and offering extra services. The relationship works, but it often stays at the level of the HR manager and the occupational health specialist.
Take a company with 300 employees, where sick days constantly force work to be reorganised, put pressure on others and affect results. Is that only the HR manager's concern, or should it be discussed with the CEO too?
This may be an unused growth opportunity. The healthcare provider could help the company's leader understand which employee health issues affect the business most and what could be done to prevent them.
It would also change the sales conversation. Instead of prices for health checks and service packages, the talk would be about work capacity, risks and costs. Of course, you also need to be able to show what impact the solution actually has.
Could the next business already be in an existing contract?
In 2025, around 66,000 employees in Estonia were covered by supplementary health insurance through their employer. That is still a fairly small share of the workforce, but it gives reason to explore how this market might develop.
Yet growth does not have to start with a new insurance product. First, it is worth reviewing existing contracts and cooperation models.
What does the employer actually buy, which options do employees use, and could the insurer and the healthcare provider create more value together?
Perhaps the existing contract includes services the client does not know about. Perhaps what needs to change is how the results of the cooperation are explained to the employer. Or a need for something new emerges.
You cannot know this without looking at the contract and the client's real situation.
But whose customer is the patient?
Healthcare has another interesting contradiction. People often choose a specific doctor, not a clinic. The same specialist may work in a public hospital, in several private clinics and be known by their own name.
When someone has an excellent experience, whose reputation actually grows? And if the doctor moves to another clinic, does the patient follow?
This does not mean the company should somehow take over the doctor–patient relationship. But trust in the clinic could grow alongside it.
Can people easily book an appointment, find the next suitable specialist when needed, and feel that the whole journey is well organised for them? Or do they have to start from scratch with every new health concern?
A well-known doctor may bring someone in, but what gives them a reason to choose the same clinic next time?
And who in the company is even responsible for that?
What would we try?
We would start with a few existing corporate clients, review the current contracts and talk to company leaders. We would want to understand whether the healthcare partner today only solves HR tasks or could help with a bigger business problem.
At the same time, we would ask patients and specialists why people choose a particular clinic, who they credit for a good experience and what makes them come back.
We would put these two pictures together and look for one place where an existing strength could create more value.
It might be a new cooperation opportunity with a large employer, better use of an insurance contract, or a change in the patient journey that turns a one-off visit into a longer relationship.
We would choose one opportunity, test it in the real business and measure whether cooperation expands, clients return or new purchase decisions appear.
What stayed with me from this story?
A healthcare company's growth does not have to come only from new clinics, doctors and services.
The bigger opportunity may lie in existing corporate clients, insurance contracts and people who have visited the clinic at least once.
But this takes two things: bringing employee health onto the leadership agenda, and giving patients a reason to trust the clinic itself, not just one doctor.
Finding a new customer is one thing. Building a relationship with an existing one where both sides gain more is quite another.
The story is based on public data on the Estonian healthcare market and an analysis of one healthcare company's possible growth directions. The company name and identifying details have been omitted. The opportunities described are hypotheses that need testing, and no sales experiment has been carried out yet.